Individual
EZEKIEL W BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
152 N 400 W, EPHRAIM, UT 84627-5549
(435) 283-8400
(435) 283-8401
Mailing address
152 N 400 W, EPHRAIM, UT 84627-5549
(435) 283-8400
(435) 283-8401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5239057-3501
UT
Other
Enumeration date
10/31/2006
Last updated
10/17/2025
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